Individual
MEICHELLE A WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1102 W 32ND ST, STE 200, JOPLIN, MO 64804-3503
(417) 347-5001
(417) 347-2477
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-5001
(417) 347-2477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2009005933
MO
363LF0000X
Family Nurse Practitioner
53-46188-072
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11852374
CAQH
MO
05
—
1922273945
—
MO
Enumeration date
04/30/2008
Last updated
08/26/2014
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